ArticleSocial psychiatry and psychiatric epidemiology2016
Determinants of resource needs and utilization among refugees over time.
Article in Social psychiatry and psychiatric epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- New Checkbox, Now What? A Scoping Review to Guide Health Research among Middle Eastern and North African Communities.Journal of racial and ethnic health disparities · 2026Article
- Mental Health Challenges and Barriers to Care Among Arab Refugees: A Scoping Review of US and Canadian Studies.PRiMER (Leawood, Kan.) · 2025Article
- Knowledge of legal rights as a factor of refugee and asylum seekers' health status: a qualitative study.BMJ open · 2023Article
- Addressing Mental Health Concerns in Refugees and Displaced Populations: Is Enough Being Done?Risk management and healthcare policy · 2022Review
- Psychological trauma and access to primary healthcare for people from refugee and asylum-seeker backgrounds: a mixed methods systematic review.International journal of mental health systems · 2020Review
- Emergency Department and Primary Care Use by Refugees Compared to Non-refugee Controls.Journal of immigrant and minority health · 2019Article
- Mental health outcomes among Arab refugees, immigrants, and U.S. born Arab Americans in Southeast Michigan: a cross-sectional study.BMC psychiatry · 2018Article
- Unemployment in Iraqi refugees: The interaction of pre and post-displacement trauma.Scandinavian journal of psychology · 2016Article
Corrections and comments
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Authors and funding
7 authors.
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Abstract
purposeThis study examined refugees' resource needs and utilization over time, investigated the relationships between pre-displacement/socio-demographic variables and resource needs and utilization, and explored the role of resource needs and utilization on psychiatric symptom trajectories.
methodsIraqi refugees to the United States (N = 298) were assessed upon arrival and at 1-year intervals for 2 years for socio-demographic variables and pre-displacement trauma experiences, their need for and utilization of 14 different resources, and PTSD and depressive symptoms.
resultsAlthough refugees reported reduction of some needs over time (e.g., need for cash assistance declined from 99 to 71 %), other needs remained high (e.g., 99 % of refugees reported a need for health care at the 2-year interview). Generally, the lowest needs were reported after 2 years, and the highest utilization occurred during the first year post-arrival. Pre-displacement trauma exposure predicted high health care needs but not high health care utilization. Both high need for and use of health care predicted increasing PTSD and depressive symptoms. Specifically, increased use of psychological care across the three measurement waves predicted more PTSD and depression symptoms at the 2-year interview.
conclusionsDifferences emerged between need for and actual use of resources, especially for highly trauma-exposed refugees. Resettlement agencies and assistance programs should consider the complex relationships between resource needs, resource utilization, and mental health during the early resettlement period.
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